How much rates vary
Facilitymedian $129 · 10th to 90th $49 to $288Professionalmedian $28 · 10th to 90th $5 to $46
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $32.36 Median $70.79 Typical High $251.19 | Facility | None | $32.36 | $70.79 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $32.36 Typical High $58.88 | Professional | None | $29.51 | $32.36 | $58.88 |
Ambetter Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
BCBS Texas Setting Facility Modifier None Typical Low $74.13 Median $181.97 Typical High $323.59 | Facility | None | $74.13 | $181.97 | $323.59 |
BCBS Texas Setting Professional Modifier None Typical Low $5.01 Median $26.92 Typical High $35.48 | Professional | None | $5.01 | $26.92 | $35.48 |
Christus Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $107.15 Typical High $204.17 | Facility | None | $48.98 | $107.15 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $35.48 Typical High $81.28 | Professional | None | $27.54 | $35.48 | $81.28 |
Health Smart Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Health Smart Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $97.72 | Professional | None | $75.86 | $75.86 | $97.72 |
Lucent Health Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Moda Health Setting Facility Modifier None Typical Low $37.15 Median $51.29 Typical High $229.09 | Facility | None | $37.15 | $51.29 | $229.09 |
Moda Health Setting Professional Modifier None Typical Low $5.50 Median $30.20 Typical High $48.98 | Professional | None | $5.50 | $30.20 | $48.98 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $40.74 Typical High $40.74 | Professional | None | $37.15 | $40.74 | $40.74 |
Providence Setting Facility Modifier None Typical Low $38.90 Median $72.44 Typical High $204.17 | Facility | None | $38.90 | $72.44 | $204.17 |
Providence Setting Professional Modifier None Typical Low $27.54 Median $35.48 Typical High $74.13 | Professional | None | $27.54 | $35.48 | $74.13 |
United Setting Facility Modifier None Typical Low $17.78 Median $48.98 Typical High $120.23 | Facility | None | $17.78 | $48.98 | $120.23 |
United Setting Professional Modifier None Typical Low $20.42 Median $28.18 Typical High $39.81 | Professional | None | $20.42 | $28.18 | $39.81 |
Wellpoint Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $25.12 | Professional | None | $23.99 | $23.99 | $25.12 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $16.60 Median $35.48 Typical High $131.83 | Facility | 52 · Reduced service | $16.60 | $35.48 | $131.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.61 Median $14.13 Typical High $52.48 | Facility | 53 · Discontinued | $6.61 | $14.13 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $16.22 Typical High $29.51 | Professional | 52 · Reduced service | $14.79 | $16.22 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.46 Typical High $11.75 | Professional | 53 · Discontinued | $5.89 | $6.46 | $11.75 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $18.62 Median $35.48 Typical High $131.83 | Facility | 52 · Reduced service | $18.62 | $35.48 | $131.83 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $7.41 Median $14.13 Typical High $52.48 | Facility | 53 · Discontinued | $7.41 | $14.13 | $52.48 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $15.14 Typical High $23.99 | Professional | 52 · Reduced service | $14.79 | $15.14 | $23.99 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.03 Typical High $9.55 | Professional | 53 · Discontinued | $5.89 | $6.03 | $9.55 |
Where Texas sits
The same service costs 3.5 times more in Kansas than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 25th of 51
$48.98
KS $129RI $37.15
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.